| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,349 |
9,319 |
$1.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,994 |
4,495 |
$313K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,443 |
1,265 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,151 |
2,845 |
$137K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
782 |
728 |
$25K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
81 |
74 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
29 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
606 |
538 |
$2K |
| D0274 |
Bitewings - four radiographic images |
271 |
227 |
$2K |
| D1110 |
Prophylaxis - adult |
149 |
134 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
14 |
14 |
$1K |
| 0012A |
|
78 |
67 |
$908.39 |
| 0011A |
|
106 |
88 |
$601.92 |
| 99406 |
|
1,007 |
872 |
$584.53 |
| 0001A |
|
13 |
13 |
$520.00 |
| 81025 |
|
1,346 |
1,274 |
$394.21 |
| 81003 |
|
1,484 |
1,135 |
$386.82 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
52 |
43 |
$368.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
286 |
271 |
$79.08 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
552 |
500 |
$9.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
620 |
590 |
$2.04 |
| 90756 |
|
62 |
60 |
$0.44 |
| D1206 |
Topical application of fluoride varnish |
54 |
54 |
$0.20 |
| 90688 |
|
16 |
14 |
$0.12 |
| 90661 |
|
13 |
13 |
$0.11 |
| 92552 |
|
13 |
12 |
$0.11 |
| 1126F |
|
7,384 |
6,169 |
$0.01 |
| 1159F |
|
8,978 |
7,429 |
$0.01 |
| 1160F |
|
8,200 |
6,801 |
$0.01 |
| 1220F |
|
7,104 |
5,976 |
$0.00 |
| 3008F |
|
8,407 |
7,068 |
$0.00 |
| 2000F |
|
7,932 |
6,677 |
$0.00 |
| 2010F |
|
8,356 |
7,032 |
$0.00 |
| 2001F |
|
8,365 |
7,041 |
$0.00 |
| 3079F |
|
1,038 |
950 |
$0.00 |
| 1000F |
|
4,562 |
3,748 |
$0.00 |
| 1125F |
|
870 |
776 |
$0.00 |
| 1036F |
|
5,681 |
4,731 |
$0.00 |
| 1034F |
|
722 |
636 |
$0.00 |
| 3074F |
|
5,017 |
4,208 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,052 |
932 |
$0.00 |
| 0501F |
|
763 |
531 |
$0.00 |
| 1031F |
|
171 |
157 |
$0.00 |
| 3037F |
|
2,344 |
2,126 |
$0.00 |
| 3075F |
|
304 |
290 |
$0.00 |
| D1330 |
|
541 |
491 |
$0.00 |
| 3351F |
|
276 |
247 |
$0.00 |
| D0601 |
|
152 |
147 |
$0.00 |
| D0603 |
|
90 |
84 |
$0.00 |
| 1170F |
|
260 |
235 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
26 |
24 |
$0.00 |
| 97802 |
|
37 |
26 |
$0.00 |
| 3048F |
|
24 |
24 |
$0.00 |
| 3028F |
|
6,658 |
5,627 |
$0.00 |
| 3078F |
|
4,248 |
3,597 |
$0.00 |
| 3511F |
|
25 |
24 |
$0.00 |
| 1033F |
|
3,695 |
3,021 |
$0.00 |
| 99173 |
|
13 |
12 |
$0.00 |
| D0180 |
|
16 |
16 |
$0.00 |